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Oklahoma rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $10.70 / $10.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.70 / $10.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $24.75 / $28.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $11.24 / $115.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $15.01 / $26.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $14.06 / $26.28